HOMESTAY APPLICATION FORM - Shafston International College

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HOMESTAY APPLICATION FORM

HOMESTAY APPLICATION FORMYidan Qin2023-12-19T04:02:31+00:00

HOMESTAY APPLICATION FORM

Step 1 of 3

33%

How do you know us?(Required)

1. Applicant Details

Applicant Name(Required)

First Last

Name of person completing this form

Gender(Required)

Relationship(Required)

e.g. Mother/Father

Occupation(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Mobile Phone Number(Required)

Email(Required)

Enter Email Confirm Email

Blue Card Registration Number(Required)

If you don't have a Blue Card, please write "Need to Apply".

Expiry Date(Required)

DD slash MM slash YYYY

2. About Your Family

Other Family Members

Click on right side “+” to add more members

Relationships

Full Name

Gender

DoB

Occupation

Blue Card No.

Expiry Date

Do you have pets?(Required)

If yes, please specify the pet information:(Required)

Name

Breed

Vaccinations

Outdoor/indoor

Character

Please describe the breed, name, vaccinations, outdoor/indoor status and character.

Main Language of Household(Required)

Other Language in Household

Does Any family member smoke?(Required)

Is Smoking allowed:(Required)

Outside

Inside

No Smoking Allowed

Please provide some information about your hobbies and family routines in the box below.(Required)

Does anyone in your household follow any specific diet mentioned above? If yes, please specify:(Required)

3. Residential Details

Address(Required)

Post Code(Required)

How many rooms do you have available for students?(Required)

Details of each student room(Required)

Click on right side “+” to add more rooms

Room No.

Bed Type (Single/Twin)

Bed Number

Desk

Chair

Wardrobe

House Brief Description(Required)

4. Host Students Preference

Do you prefer to host male or female students?(Required)

Do you prefer a specific nationality?(Required)

If yes, which nationality/nationalities do you prefer?(Required)

Can you provide Cooked Meals?(Required)

Do you provide microwave meals?(Required)

Are there any dates in 2024/2025 that you cannot host students?(Required)

Are you happy to host the following:

A minor (under 14 years)

A teenage student (under 18 years)

A mature student (30+)

A student requiring gluten-free diet

A student requiring a vegetarian diet

A student requiring Kosher or nonPork diet

A diabetic student

A disabled student

A student with a nut allergy

A student allergic to smoke

A student allergic to pets

A student with a dust allergy

A smoking student

A student from an Islamic culture

Your Welcome Message to the students(Required)

5. Health & Safety

Ever been arrested or convicted of any criminal offence, other than a traffic violation?(Required)

If yes, please explain.(Required)

Have a chronic illness, disability or any physical, mental or emotional problems?(Required)

If yes, please explain.(Required)

Have a history of drug or alcohol abuse?(Required)

If yes, please explain.(Required)

6. Payment Info & Notes

Please provide your bank account information for receiving regular payments. Please ensure the information is accurate.

Bank Name

e.g. CBA, ANZ, Westpact.

Account Name

BSB No.:

Six-digit code used to identify the specific branch of an Australian bank or financial institution

Account Number

Digits that identify your bank account at your financial institution

Notes

The information that you enter on this form is privileged and is kept in accordance with the Privacy Act. Under this federal Legislation you are entitled to access any records held on you. For more information on the Privacy Act, please visit – www.privacy.gov.au

I give permission to Shafston international College to share my email address to other homestay for car pooling purposes(Required)

Consent(Required)

I confirm that the information given on this application is true and complete to the best of my knowledge.(Required)

Consent(Required)

I agree that all immediate family members over 18 years old who may stay for a period of time during the next 12 months may be screened annually by the Department of Education Working with Children unit, if requested.(Required)

Consent(Required)

I agree to allow a Shafston International representative to visit my home and photograph a) the student’s bedroom b) Common living areas for reference purposes.(Required)

Full Name(Required)

Signature(Required)

Date(Required)

DD slash MM slash YYYY

CAPTCHA

BRISBANE CAMPUS

46 Thorn St, Kangaroo Point
Brisbane QLD 4169 Australia

GOLD COAST CAMPUS

72 Nerang St, Southport
Gold Coast QLD 4215 Australia

SYDNEY CAMPUS

L24, 233 Castlereagh Street
Sydney NSW 2000 Australia

+61 (0)7 3249 4111
info@shafston.edu

QUICK LINKS

COURSES
LEGISLATION
FORMS, POLICIES & PROCEDURES
ENGLISH PLACEMENT TEST
TERMS & CONDITIONS
- 2025 ELICOS TERMS & CONDITIONS
- 2025 VET TERMS & CONDITIONS
UNDER 18’S
UNIVERSITY PATHWAYS
STUDENT PORTAL
STAFF PORTAL

SHAFSTON AGENT

AGENT LIST
AGENT PORTAL LOG-IN
MATERIALS
TERMS & CONDITIONS
- 2025 ELICOS TERMS & CONDITIONS
- 2025 VET TERMS & CONDITIONS
ENTRY REQUIREMENTS

BUSINESS HOURS

Monday – Friday
8:30am – 5:00pm
Saturday – Sunday
Closed

BRISBANE CAMPUS

46 Thorn St, Kangaroo Point
Brisbane QLD 4169 Australia

GOLD COAST CAMPUS

72 Nerang St, Southport
Gold Coast QLD 4215 Australia

SYDNEY CAMPUS

L24, 233 Castlereagh Street
Sydney NSW 2000 Australia

+61 (0)7 3249 4111
info@shafston.edu

QUICK LINKS

COURSES
LEGISLATION
FORMS, POLICIES & PROCEDURES
ENGLISH PLACEMENT TEST
TERMS & CONDITIONS
- 2025 ELICOS TERMS & CONDITIONS
- 2025 VET TERMS & CONDITIONS
UNDER 18’S
UNIVERSITY PATHWAYS
STUDENT PORTAL
STAFF PORTAL

SHAFSTON AGENT

AGENT LIST
AGENT PORTAL LOG-IN
MATERIALS
TERMS & CONDITIONS
- 2025 ELICOS TERMS & CONDITIONS
- 2025 VET TERMS & CONDITIONS
ENTRY REQUIREMENTS

BUSINESS HOURS

Monday – Friday
8:30am – 5:00pm
Saturday – Sunday
Closed

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Copyright© 2022 by Shafston International College. All Rights Reserved

CRICOS Provider Code:03917H | RTO Code:45694

logo 75*75 white

Copyright© 2022 by Shafston International College. All Rights Reserved

CRICOS Provider Code:03917H | RTO Code:45694

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Contact Info

46 Thorn Street, Kangaroo Point, QLD, 4169

Phone: +61 (7) 3249 4111

Email: info@shafston.edu

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